Purpose: To understand the ways in which autistic Latinx children experience disparities in diagnosis, healthcare, and receipt of specialty services. Methods: 417 individuals who identified as Latinx caregivers of autistic children who were members of the same integrated healthcare system in Northern California were surveyed. Responses were…

Dealing with numbers is an inherent aspect of interpreting health statistics, and negative emotions may interfere with medical decision making. One emotionally charged decision-making context is parents making medical decisions for their children. Knowing which factors--such as anxiety specific to math contexts--are associated with parents'…

Purpose: Racial differences in prevalence rates of autism spectrum disorder (ASD) have shifted in the United States (US) since the 1990s. This review addresses the nature and context of this shift and discusses potential contributing factors and areas for future research. Methods: Seventeen population-based epidemiological birth cohort studies on…

This article examines children's health coverage today and explores the ways and means to ensure its financial sustainability and the factors associated with it. As extensively argued, long term negative effects could be on health, education, and financial success as an adult. It also suggests that reductions in children's coverage could have…

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common mental disorders of childhood. It is characterized by a pattern of inattention, impulsivity, or hyperactivity that leads to functional impairment experienced in multiple settings. Symptoms of ADHD occur during childhood, and many children continue to have symptoms and…

Numerous studies have reported that socioeconomic status (SES) predicts language skills in typically developing children. However, this association has been less systematically studied in children with developmental disabilities, such as autism spectrum disorder (ASD) or other developmental delays (DD). In the present study, we examined the…

To identify the state-level policies and policy domains that state policymakers and advocates perceive as most important for positively impacting the use of children's mental health services (CMHS). We used a modified Delphi technique (i.e., two rounds of questionnaires and an interview) during Spring 2021 to elicit perceptions among state mental…

Autism spectrum disorder is considered a vulnerability for many diseases including coronavirus disease 2019. This study investigated trends in coronavirus disease 2019 among children and adolescents with and without autism spectrum disorder and to evaluate whether there are differences in the prevalence, severity, and case fatality rate. We used…

School Health Centers play a vital role in providing youth with easy access to health care, improving both health and education outcomes. In California, two major initiatives--the Children and Youth Behavioral Health Initiative (CYBHI) and California Advancing and Innovating Medi-Cal (CalAIM)--are reshaping how health services are delivered in…

Given existing barriers to a timely autism diagnosis, this study compares the efficiency and equity of diagnoses conducted in-person vs. telehealth in a developmental behavioral pediatrics setting. The transition to telehealth was prompted by the COVID-19 pandemic. Eleven months of clinic data in electronic medical records were retrospectively…

Objective: Attention-Deficit/Hyperactivity Disorder (ADHD) is a common behavioral health condition that impacts 5% to 8% of children and 2.5% of adults worldwide. The symptoms of ADHD are effectively managed with medication, yet patients with ADHD may inconsistently take their medication. We assessed medication adherence among patients with ADHD…

Autism is a lifelong condition characterized by repetitive and restrictive behaviors and differences in social communication. The reported prevalence of autism has risen exponentially in the past years. Early identification and subsequent early intervention are key to promoting better outcomes for autistic individuals. However, there is a dearth…

Children are at risk of short- and long-term morbidity and mortality from COVID-19. We examine whether autistic children and children with mental health conditions have higher odds of underlying health conditions at high risk of severe disease from COVID-19. We use claims data from a national sample of Medicaid-enrolled children for the years…

The recent passage of H.R. 1 by a partisan Congress chooses billionaires over babies, and puts children in unprecedented peril. This Issue Brief describes some of the many ways that H.R. 1 will hurt children in the U.S. and even around the world in the very near term and in the years to come, including that it: (1) Cuts $1 trillion from Medicaid…

The House has passed a budget reconciliation bill that supporters are referring to as a "one big, beautiful bill." However, the authors of this Issue Brief believe that this budget bill threatens the health and nutrition of millions of children and pushes millions of children into poverty in order to provide tax credits for corporations,…